Provider Demographics
NPI:1427460856
Name:TUANO, ARISTOTLE IBARRA (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:ARISTOTLE
Middle Name:IBARRA
Last Name:TUANO
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 ROCKHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-7735
Mailing Address - Country:US
Mailing Address - Phone:805-302-0804
Mailing Address - Fax:
Practice Address - Street 1:3406 ROCKHAMPTON DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-7735
Practice Address - Country:US
Practice Address - Phone:805-302-0804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000456363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily